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長(zhǎng)期神經(jīng)病理性疼痛行為學(xué)改變與突觸可塑性和邊緣回路改變的相關(guān)性研究:一項(xiàng)小鼠的對(duì)照觀察研究(十九)

 英語(yǔ)晨讀 ·


山東省立醫(yī)院疼痛科英語(yǔ)晨讀已經(jīng)堅(jiān)持10余年的時(shí)間了,每天交班前15分鐘都會(huì)精選一篇英文文獻(xiàn)進(jìn)行閱讀和翻譯。一是可以保持工作后的英語(yǔ)閱讀習(xí)慣,二是可以學(xué)習(xí)前沿的疼痛相關(guān)知識(shí)。我們會(huì)將晨讀內(nèi)容與大家分享,助力疼痛學(xué)習(xí)。

本次文獻(xiàn)選自Francesca Guidaa,Monica Iannottaa,Gabriella Misso, et al. Pain. 2022.本次學(xué)習(xí)由李蕓主治醫(yī)師主講。

Of note, 11 genes resulted commonly upregulated to a significant extent both in the hippocampus and in PFC of the 12-month sham mice compared with the 1-month ones (Fig. 5C). On the other hand, the proinflammatory cytokines CCL2, CCL5, and IL12A, as well as the costimulator of T-cell activation and proliferation CD86, were upregulated only in the cortex of the 12-month sham mice compared with the 1-month ones (Fig. 5D and E). The PANTHER software analysis displayed the prominent modulation of inflammation mediated by chemokine and cytokine signaling pathways and T-cell activation (Fig. S3B, available at http://links.lww.com/PAIN/B547).

值得注意的是,與1個(gè)月的假手術(shù)組相比,12個(gè)月的假手術(shù)組的海馬區(qū)和PFC的11個(gè)基因普遍上調(diào),且幅度很大(圖5C)。另一方面,與1個(gè)月的假手術(shù)組相比,促炎癥細(xì)胞因子CCL2、CCL5、IL12A以及T細(xì)胞活化和增殖的刺激因子CD86只在12個(gè)月的假手術(shù)組的大腦皮層中被上調(diào)(圖5D和E)。PANTHER軟件分析顯示了由趨化因子和細(xì)胞因子信號(hào)通路和T細(xì)胞激活介導(dǎo)的炎癥的突出調(diào)節(jié)(圖S3B)。



Overall, these data demonstrate the existence of an enhanced neuroinflammation status in old brain, as demonstrated by the higher amount of proinflammatory and stress-associated mediators in older mice compared with the younger ones. Moreover, these factors are mainly expressed in the hippocampal region compared with the cortex. The same pattern of genes was analysed to compare sham and SNI mice coupled on the basis of brain area and injury duration (Fig. 6). As a result, we observed the significant upregulation of 26 genes in the hippocampus of the 1-month SNI mice compared with the 1-month sham animals (Fig. 6A and B). Among these genes, there are the apoptosis-related factors Bax and Bcl-2 (3.4 and 4.3-fold), the endothelial marker CD34 (3.4-fold), the pan-macrophage marker CD68 (3.4-fold), the ADP-ribosyl cyclase CD38 (3.6-fold), which acts as a regulator of neuroinflammatory processes in astrocyte-induced neuroprotection, CCR2 (4.3-fold), and macrophage colony-stimulating factor-1 (4.4-fold). A substantial upregulation of the proinflammatory cytokines IL18, IL1B, and IL7 (2.6-fold, 3.5-fold, and 9.6-fold, respectively) was also recorded, together with the inflammatory mediators PTGS2, NFkB1 and 2, STAT6, and IKBKB by 2.7-fold, 5.0-fold, 2.5-fold, 3.3-fold, and 6.9-fold, respectively. The activation of the classical pathway of the complement system was also revealed by 5.3-fold upregulation of C3 gene. A possible rebound effect of these multiple proinflammatory stimuli could be the reason for the huge increase of SOCS2 expression (11.1-fold). The immunosuppressive cytokine TGF-b1, which acts as a pivotal controller of cell growth and differentiation and of tissue repair after injury, was upregulated by 3.2-fold, but a simultaneous induction of its negative regulator SMAD7 (3.7-fold) was observed too. The expression of angiogenic factors EDN1 and VEGFA, as well as the adhesion molecule VCAM1, was also found strongly induced (3.6-, 6.5-, and 3.4-fold, respectively). Worthy of note is the huge induction of transferrin receptor (TFRC, 5-fold). The PANTHER software revealed the representation of the most affected pathways in the hippocampus of the 1-month SNI mice compared with the 1-month sham animals (Fig. S3C, available at http://links.lww.com/PAIN/B547), showing 8 genes involved in inflammation mediated by chemokine and cytokine signaling pathways, 5 genes in apoptotic pathway, 4 in CCKR map, other 4 in Toll receptor signaling pathway, and other genes variously involved in B-cell activation, T-cell activation, TGF-b, Wnt, PDGF, and endothelin signaling pathways.

總的來(lái)說(shuō),這些數(shù)據(jù)證明了老齡大腦中存在更強(qiáng)的神經(jīng)炎癥狀態(tài),這表現(xiàn)在12飛月組與1個(gè)月組相比有更多的促炎和應(yīng)激相關(guān)的介質(zhì)。此外,這些介質(zhì)因素主要在海馬區(qū)表達(dá)。我們觀察到1個(gè)月的SNI小鼠與1個(gè)月的假手術(shù)組相比,在海馬區(qū)有26個(gè)基因明顯上調(diào)(圖6A和B)。在這些基因中,主要有凋亡相關(guān)因子Bax和Bcl-2(3.4和4.3倍),內(nèi)皮細(xì)胞標(biāo)志物CD34(3.4倍),泛巨噬細(xì)胞標(biāo)志物CD68(3.4倍),CD38(3. 6倍), CCR2(4.3倍),和巨噬細(xì)胞集落刺激因子-1(4.4倍)。促炎癥細(xì)胞因子IL18、IL1B和IL7分別上調(diào)了2.6倍、3.5倍和9.6倍,炎癥介質(zhì)PTGS2、NFkB1和2、STAT6和IKBKB分別上調(diào)了2.7倍、5.0倍、2.5倍、3.3倍和6.9倍。補(bǔ)體系統(tǒng)的經(jīng)典途徑也被激活,C3被上調(diào)5.3倍。細(xì)胞因子信號(hào)轉(zhuǎn)導(dǎo)抑制因子 2 SOCS2的表達(dá)量大幅增加(11.1倍)。免疫抑制細(xì)胞因子TGF-b1作為細(xì)胞生長(zhǎng)和分化以及損傷后組織修復(fù)的關(guān)鍵因子,被上調(diào)了3.2倍,但同時(shí)也觀察到其負(fù)調(diào)控因子SMAD7的上調(diào)(3.7倍)。血管生成因子EDN1和VEGFA以及粘附分子VCAM1的表達(dá)也被顯著誘導(dǎo)(分別為3.6、6.5和3.4倍)。值得注意的是轉(zhuǎn)鐵蛋白受體(TFRC,5倍)的誘導(dǎo)表達(dá)。PANTHER軟件顯示,與1個(gè)月的假手術(shù)組相比,1個(gè)月的SNI小鼠海馬區(qū)中顯示有8個(gè)基因參與由趨化因子和細(xì)胞因子信號(hào)通路介導(dǎo)的炎癥,5個(gè)基因參與凋亡通路,4個(gè)參與CCKR圖譜,其他4個(gè)參與Toll受體信號(hào)通路,還有其他不同的基因參與B細(xì)胞激活、T細(xì)胞激活、TGF-b、Wnt、PDGF以及內(nèi)皮素信號(hào)通路。

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